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LAP-BAND Patients

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Referrel from PCM: 2.18.09Educational Seminar: 3.4.09Met with Surgeon: 4.20.09Submitted to tricare: 7.22.09Surgery Date: 12.1.09

Age: 43

Height: 5 feet 1 inches

Starting Weight: 216 lbs

Weight on Day of Surgery:

Current Weight: 216 lbs

Goal Weight: 112 lbs

Weight Lost:

BMI: 40.8

Surgery: LAP-BAND

Surgery Status: Pre Surgery

First Dr. Visit: 01/01/1970

Surgery Date: 12/01/2009

Hospital Stay: n/a

Surgery Funding: Insurance

Insurance Outcome: 1st Letter Approval